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tv   Sanjay Gupta MD  CNN  April 17, 2011 7:30am-8:00am EDT

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knows both of the places well and is back from the exclusion zone around japan around the crippled nuclear plant and ron artest from the l.a. lakers is famous, but infamous for his temper. by all accounts he was out of control but that all changed by seeing a psychologist. and that's daniella. just 19 years old. her doctors told her she had a heart attack. we'll tell you exactly what happened and how you can spot the warning signs. let's get started. ♪ nothing about the story you're about to hear is typical. a young, pretty girl out shopping suddenly clutching her chest. she wasn't a smoker. she wasn't a drinker. she's not overweight. she's just 19 years old. now, we talk about heart disease all the time on this show. we talk about how to prevent classic symptoms of it and how
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women are more affected than men. sometimes stories are just plain unusual and they are rare. the question is this. would you know what to do? >> hi. i'm daniella rodriguez. i'm 19 years old, and i'm a college student. everything started on thanksgiving day. i was at the table, eating dinner. i started feeling really hot. it was something i had never felt before. two days later i was shopping with my friends. i started to feel like the pain that goes through my throat. this part over here and then a few minutes later i started feeling my arm. it was horrible. it wasn't like a pain but a lot of pressure. i feel like i couldn't breathe. it was horrible. >> i didn't want to scare her but i knew that something was wrong. >> my friend kind of knew because she's older than me.
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shoefs she was like i heard those are some symptoms of a heart attack. i was, like, no way. this can't be happening. okay. she actually took my jacket off and where you feel the pain over here, over here, over here. that's the heart over here. she's like this is not normal. >> she started crying. you know what? the pain is really strong. >> let's go. call your mom if you don't want me to take you to the spital. call your mom or dad. and i'll take you over there. >> i dropped her with her parents and they took her right away to the hospital. >> translator: i was very emotional. i knew that something was not normal because she was admitted within ten minutes. my wife was with her. when she came out she told me there was a problem with her heart. >> i was, like, wow. i actually had a heart attack. i was surprised because how come i had a heart attack. i'm 19 years old. that could never happen to somebody that young. i just heard like okay,
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you know, all people have it in their 50s, 60s, 70s. it was something that wasn't normal. >> it's so startling to look at those images. she's 19 years old, and she's complaining giving classic signs of a heart attack. i will tell you, she's doing better. she's taking medications at home and resting. we really want to sort of dig down in this a bit. joining us is her doctor. jason reingold, he's a cardiologist at st. joseph's hospital. what happened? 19 year old with heart attack symptoms. what happened? >> this is an exceptional story. what daniella had is a spontaneous artery. it's a rare cause but it is one of the more common causes in young healthy females. >> how common is this? or how rare? >> we don't have good estimates. .2 to 1%. there's about 220 cases that have been published in literature. >> exceedingly rare. we do have this model here. my understanding is if you look at the model we're talking about these blood vessels on top of the heart called the coronary
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arteries. >> they provide the heart with oxygen and nutrients. most happen in the main artery. this feeds all of her heart. damage to here has potential to jeopardize the heart. >> it just dissected so she wasn't getting enough blood flow to the heart anymore. >> exactly. one of the walls teared apart and split open and blood went down the wrong pathway. >> any way she could have known she had this conditions? >> no. she had the classic symptoms. chest pain, radiation down her shoulder into her arm. that's the signal of a heart attack. >> we heard about master holbrooke, and about john ritter, the actor, dying from dissection. it was said he could have no idea it was happening. what happened there? >> you are involving the main artery that feeds blood to all organs. there's a weakness that predispose it is to tearing and splitting apart.
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>> when someone is having these sorts of symptoms. 19 year old says i have pain in the throat. i feel hot. most teenagers would blow this off thinking it's nothing. how do you know when something is a problem? >> well, the answer is you have to go to a doctor. that's the problem. we have to educate people about if they have the signs, they have to seek medical care. >> chest pain obviously one of them. >> she had chest pain. she had the shortness of breath. she couldn't catch her breath. she was sweating. she had really all of the classic symptoms. >> how dangerous was this for her? >> actually 50% of patients who have this die immediately of sudden cardiac death. she's extremely lucky she had a second chance. >> she's fine now. >> she's doing great now. >> we talk about heart disease all the time on this show. people don't realize this but women have a greater chance of dying from a heart attack than a man. are there specific things women should be looking for? >> i'm glad you brought that up. this is stereotype we have to get rid of. women often have atypical symptoms. instead of having crushing chest pain they may have shortness of
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breath, weakness, nausea, sweating. it's hard for patients or physicians to know they are actually having a heart attack in that early critical period. >> if something like that is happening, get it checked out. most times it won't be a heart attack but worth getting checked out. >> not saying everyone with symptoms is having a heart attack but let your doctor decide. >> something we're dedicated to. appreciate it. don't forget to watch my upcoming special comes out this summer called "the last heart attack." the focus is on how we might see the last heart attack in america. up next, inside the exclusion zone around that fukushima daiichi nuclear plant. people are told to abandon their homes and their lives. later in the show, ron artest. this guy was known for biggest fight in basketball history. many of you may have seen it. the malice in the palace. now he's fighting something else, taboos around mental health. we'll explain. did you know prilosec otc
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>> it brings your best minds and their brightest ideas together. it helps the largest of companies seize opportunity like the smallest of startups. it's the network-- the intelligent, secure cisco network that lets your employees, partners, suppliers and customers innovate and share so you can unleash the power of your most valuable asset: your people. the news from japan took an ominous turn at the fukushima daiichi nuclear plant. radiation is bad enough the government has raised the alarm to the highest level. it's a level seven, as high as
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chernobyl. we met donald weber, a photographer, who visited chernobyl more than 20 times to see the long-term effects of the nuclear disaster. he told me at that time the so-called exclusion zone, the area around the plant that residents have been told to evacuate probably forever. now he's back from his trip and he joins me from toronto. welcome, donald. >> hi, sanjay. nice to see you again. >> i was fascinated to hear that you were going and going into the so-called exclusion zone. how hard was it to get in there? >> it wasn't very hard. it was surprising actually. when you hear exclusion zone, i have memories of chernobyl which is a difficult place to enter. i assumed they would have the same level of military and police. driving in there it's just a few traffic wardens who warn you of a looming nuclear catastrophe just down the road and don't proceed any further. for us we just said it looks
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okay. i want to go to the top of the hill and take a view. >> there's still radiation leaking. were you measuring your level of potential radiation contamination yourself? >> on a day-to-day basis i wasn't measuring, no. i did some research about where the more severe areas were and i understand how radiation floats in the wind. we followed the weather patterns every morning and we had an app on our iphone that was talking about wind direction so we made a very logical choice to stay north of the reactor because the winds come from north to south. >> you'll do just about anything to get some of these photographs that you're about to share with us. let me ask you before i have you describe some of those. what was it like to be there? >> the most startling thing for me is getting closer and closer to the reactor is where is everybody? there's absolutely nobody there. i remember first getting out of the car and the thing that struck me the most other than the lack of people for obvious
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reasons was the total silence. usually when you say to somebody it's so quiet here, there will be background noise or white noise, birds chirping in the distance. but literally here it was like being in a soundproof box. >> you describe it like a ghost town. there's a picture of the chairs in the street. nobody is sitting there. what was going on? was that essentially people who were there and just evacuated and left that ghost town feeling? >> i remember seeing that from a distance and said are those chairs in the middle of the street? kind of drew me toward it and kept walking to it because the way they are positioned is like a picnic or something and suddenly one minute you are having a picnic and next you disappeared and that's very common throughout there. you had these little vignettes of people going about their daily lives, and then suddenly
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there's no people there. >> what were some of the other -- the people who are there, there are people who chose to stay. they are wearing masks. one woman even sort of walking her dog down the street. did you get a chance to talk to them. what was going on in their lives right now? >> we're up at the top of a little hill. this woman is taking her dog for a walk. it's quite amazing. we went down and talked to her. she ended up telling us the only reason she decided to stay is they're not allowed to take her dogs and she wanted to be with her dog who she considered to be part of the family. that was very common. out of 10 to 12 people i spoke with, four separate people that we met the only reason they decided to stay in the exclusion zone is because their dogs or their pets. >> you can't help but remember that obviously there was a major tsunami as part of this as well. there was an earthquake and tsunami and the radiation discussion has really dominated. the tsunami a lot of people lost their lives as a result of that. did you see evidence of that still so many weeks later around the plant or in that zone? >> yeah. i mean, that was something -- i think it was just the day before
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actually went into the exclusion zone and i read a report online with a quote from a japanese government official saying we found all of the bodies inside the exclusion zone. the only bodies we haven't picked up yet are the ones that are inside. going in there the next day i saw a body. i counted three bodies myself. >> i've seen some of those images. they are hard to look at. one of the things that struck me when i was there as well is that obviously radiation in japan having a very complicated history. people are fearful of radiation for good reason because of what happened during world war ii. i was surprised to hear so many people are discriminated against who have been exposed to radiation. did you see evidence of that? there's a term for it, hebakusha, where people are called radiation survivors. >> just as we entered into the zone we met a man who was fixing up his property just kind of getting it ready. he had three young children who were toddlers or kindergarten
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age and i kind of brought up the word hibakusha, and everybody sort of laughed nervously and i could tell he was sort of uncomfortable and then a few minutes later he came back and said i've already driving in my car you can tell the license plate where you come from that says fukushima. people are, like, get away from me. you have fukushima plates. he was very much concerned about his daughter who was just going to be entering kindergarten, that she was, you know, already being taunted by the fellow kids as being irradiated, modern hibakusha, very quickly, you know, within two weeks. >> so sad considering what they have been through. you met people coming back to pick up belongings. >> i was wandering around the streets. i saw a sign taped to a wall that said in japanese be strong, fukushima. never relent. and so i went into the home and i saw kids and they were packing up. the mother sort of pulled me aside and said we told the kids we're coming back to get personal effects. it's exam season right now in japan.
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they think in a few months maybe six months from now we'll be coming back. don't tell the kids. we're never coming back here. our life in odaka is finished. that to me was probably the most powerful thing i had heard all this time. you see the cars jammed full of belongings and such and the boy had written on his hands a shopping list of things that he wanted to get. i was thinking in my head if i had five minutes, 15 minutes to choose my life, what would i take with me? >> what an impossibly difficult decision to make. donald, thanks again for joining us. thanks for sharing those photographs with me. it's important for people to hear the stories of the real people who are really dealing with this on a daily basis. appreciate you being on the show. >> thank you for having me. donald weber just back from the exclusion zone around that crippled nuclear plant in japan. like a ghost town he says. we'll have more after the break. ♪
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we are back with "sgmd." the nba playoffs are kicking off and i had a chance to catch up fascinating players in the game, ron artest of the defending champion l.a. lakers. he's a real star on the court but is he probably best known for his temper and for brawling with fans especially in a disastrous brawl in 2004. since then though, i can tell you his life is really changed. today you visited a school in inglewood. yesterday we visited a clinic in south central. you know. and so i move around a lot, always try to stay involved. >> reporter: after practice, this is what l.a. lakers forward ron artest does in his free time. he's raising awareness about mental illness.
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>> artest loading up for three! >> reporter: it's not exactly what most people would expect from the man who made the cover of "sports illustrated" for storming the stands in detroit. after a fan threw a drink at him. that was back in 2004. when people watch the videos of you like they are forever when you were angry, it is a very different ron artest today. >> oh, definitely. definitely. lot of people know, yeah, i had a problem. anger management problem. yes, i did see a psychiatrist. i saw him before game seven. >> reporter: after the lakers won the nba championship last year, artest first shout out went to his psychologist. >> i definitely want to say to my doctor -- >> reporter: essentially telling the world he was seeking help because he needed it. then he raffled off his championship ring for more than half a million dollars. that went to his charity which helps high-risk kids. do you have a particular diagnosed mental illness? >> no, i don't have a mental illness.
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at the age of 6 years old i had anger management problems. it was a lot of frustration and tension in my household. as i got older, man, i'm always mad for some reason. >> do you have anger management issues not anymore? >> not as bad as i used to. >> reporter: but he does say there's been a lot of mental health issues in his family and he knows counseling has helped him deal with these issues and it can help others too, but they have to have access to therapy. >> i'm still not perfect. i tell people i'm an example, i'm no longer a statistic, i'm an example, a solution and i'm trying to be a role model. i'm not a role model yet, but one day i will be. >> there's other big names as well speaking out on mental health. kathericatherine zeta-jones sai week she's been treated for bipolar disorder. she checked herself into a hospital. patrick kennedy, the son of late senator ted kennedy, left congress last fall after eight terms and a few months after his father died. patrick says he's struggled for
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years with addiction and at one point he was also diagnosed as bipolar. he's now launching a major new initiative to explore the brain and find cures for mernt alment illness. it is an ambitious project but he told me his own health comes first. >> i would say i have been in rehab easily over half-a-dozen times. are. >> are there sometimes when you said this isn't working, this just doesn't work? >> well, one of the things i knew i needed to do was to live a life that could support my recovery in a way that was more conducive to long term recovery and that's why i chose not to run for re-election because, frankly, living in the public eye and in political life was not conducive to really getting that kind of long term steady recovery that is absolutely got to be the number one priority in
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my life. >> you can watch my full conversation with patrick kennedy as well. it is a fascinating one. it is about the momentous year in his life. that's going to air next month, may 15th. also just ahead. you know triathlon training thing? i want to tell but a little problem i ran into. see if you can relate to this. i'll have it for you after the break. ugh, time to color. woohoo! whoa. haircolor is a chore no more! you gotta come see what's new. c'mon! tadaaa! welcome to haircolor heaven. aa-ah-ahhh! courtesy of new nice 'n easy colorblend foam. permanent, dimensional color, now in a delightful foam!
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i also have an update on our triathletes. next week is the half-way point of training and we are meeting in hawaii to take a measure of how it's all going. i got a confession to make -- my training -- not so much. i could make excuses but i know a lot of are you in the same boat so when this past week started i thought i'd show you a
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little bit of how i'm trying to get it back on track. few months now until this triathlon and it's a little nerve-racking. i've been traveling all over the world, it is very hard to train in many of the places i've been, most recently japan. i fly into a place like this, i'm in denver now, here just for a few hours, doing a few more shoots. how to get it all in becomes the real challenge. my perspective right now is that i obviously got to do something. i got to try to do something, no matter how small, every single day. that's what i'm going to do now. here i am in the gym. i got just a little bit of time but i found this gym here in denver. it is actually part of a story that i'm shooting. dr. maroon is a triathlete, 70 years old, he's done seven ironmans. i'm going to get a workout with him. that's how i'm sort of combining things today. i didn't know if i'd be able to keep up with dr. maroon. all right. so down about six hours here in denver, got my work done, got a little bit of a workout in. even working with this guy, dr.
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maroon, i incorporated that in my own workout. on to a new city, new zip code, and again get a little something in every single day. see what the next city brings. well, it is the end of the week now. i'm in new york. traveled to atlanta, colorado, new york. i did manage to get a workout in here. course i had to wake up at 4:15 in the morning to get it done. not as much working out as i had's like to do this week but we'll see what the weekend brings. so good luck to me, good luck to you. about four flights in five days? tell you what, it's tough but i'm looking forward to hawaii, going to do some catching up there and catch up also with the rest of our triathlon challenge team. we'll swap lessons and tips and hopefully get in a bit of practice racing as well. thanks for watching, everybody. i'm dr. sanjay gupta. more news on cnn starts right now.

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